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Author Question: A psychiatricmental health reads in a client's history that she was treated several years ago with ... (Read 34 times)

Charlie

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on: Jul 19, 2018
A psychiatricmental health reads in a client's history that she was treated several years ago with electroconvulsive therapy. The nurse is justified in presuming that this client likely has a history of what mental health disorder?
 
  A) Schizophrenia that has not responded to medication
  B) Persistent anxiety disorders
  C) Personality disorders
  D) Major depression that has not responded to medication

Question 2

A client is a potential candidate for electroconvulsive therapy and is in the pretreatment evaluation process. Which of the following orders should the nurse question?
 
  A) Obtain a complete metabolic panel and electrocardiography .
  B) Inform client to fast after midnight the day before the procedure.
  C) Obtain baseline of symptoms.
  D) Administer succinylcholine.


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sylvia

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Reply #1 on: Jul 19, 2018
Answer to Question 1

Ans: D
Feedback:
Electroconvulsive therapy is the most effective treatment available for refractory major depression (ie, depression that recurs and does not respond to other modalities).

Answer to Question 2

Ans: D
Feedback:
From a medical standpoint, clients should undergo a complete health history and physical examination. Laboratory and diagnostic tests should include a blood count, evaluation of electrolyte levels, complete metabolic panel, electrocardiography (ECG), and chest x-ray. From a psychiatric standpoint, a baseline of symptoms should be recorded against which clinicians can monitor progress and symptom alleviation. Administration of succinylcholine occurs in the procedure process.


Charlie

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Reply #2 on: Jul 19, 2018
Correct answers!


sylvia

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Reply #3 on: Jul 19, 2018
Great! Please up vote :D


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